{"id":37751,"date":"2025-02-21T10:39:27","date_gmt":"2025-02-21T10:39:27","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=37751"},"modified":"2025-02-21T10:39:27","modified_gmt":"2025-02-21T10:39:27","slug":"improving-care-for-older-people-with-acute-infections","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/tr\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/type-2-rcf-funded-projects\/improving-care-for-older-people-with-acute-infections\/","title":{"rendered":"Akut enfeksiyonlar\u0131 olan ya\u015fl\u0131lara y\u00f6nelik bak\u0131m\u0131n iyile\u015ftirilmesi"},"content":{"rendered":"<div class=\"assembler_default-group assembler_module_group assembler_default-group_1 assembler_module_group_1\"><div class=\"assembler_module_area assembler_module_area_1\"><div class=\"assembler_text-module assembler_module assembler_text-module_1 assembler_module_1  transparent\"><a tabindex=\"-1\" title=\"Mod\u00fcl-1 ba\u015fl\u0131kl\u0131 b\u00f6l\u00fcm\" id=\"module-1\" href=\"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/37751\/#module-1\" class=\"anchor\"><span class=\"hidden\">Mod\u00fcl-1 ba\u015fl\u0131kl\u0131 b\u00f6l\u00fcm<\/span><\/a><!-- Template found for text-module - Template: template-text - Matched: _only --><section class=\"w-full mx-auto max-w-content pt-12 sm:pt-24 pb-12 sm:pb-24\">\r\n  <div class=\"entry-content w-full !px-0 max-w-small\">\r\n        <h1>Akut enfeksiyonlar\u0131 olan ya\u015fl\u0131lara y\u00f6nelik bak\u0131m\u0131n iyile\u015ftirilmesi<\/h1>\n<h2><strong>Sorun nedir?<\/strong><\/h2>\n<p><strong>\u00a0<\/strong>75 ya\u015f \u00fcst\u00fc ki\u015filerde akut enfeksiyonlar\u0131n te\u015fhisi genellikle zordur ve hem a\u015f\u0131r\u0131 antibiyotik re\u00e7ete edilmesi hem de planlanmam\u0131\u015f hastane yat\u0131\u015flar\u0131yla ili\u015fkilidir (Rhee &amp; Stone 2014; Beckett vd. 2015; Millet vd. 2015). Ya\u015fl\u0131larda antibiyotiklerin a\u015f\u0131r\u0131 kullan\u0131m\u0131n\u0131n ve planlanmam\u0131\u015f hastane yat\u0131\u015flar\u0131n\u0131n nedenleri ve (g\u00fcvenli bir \u015fekilde) azalt\u0131lmas\u0131 yollar\u0131 \u00fczerine \u00f6nemli ara\u015ft\u0131rmalar yap\u0131lm\u0131\u015ft\u0131r, ancak bunlar \u00f6ncelikle bak\u0131m evi ortamlar\u0131na odaklanm\u0131\u015ft\u0131r (Feldstein vd. 2018; Nguyen vd. 2019; Raban vd. 2020; Smith vd. 2020). \u00c7e\u015fitli giri\u015fimlere ra\u011fmen, ba\u015far\u0131l\u0131 uygulamaya y\u00f6nelik \u00f6nemli engeller nedeniyle bak\u0131m evlerinde antibiyotiklerin a\u015f\u0131r\u0131 kullan\u0131m\u0131 bir sorun olmaya devam etmektedir (Vicentini vd. 2024). Ba\u011f\u0131ms\u0131z olarak ya\u015fayan, baz\u0131lar\u0131 resmi veya gayri resmi bak\u0131c\u0131lar\u0131n deste\u011fiyle ya\u015fayan ya\u015fl\u0131lar i\u00e7in, bu konular veya antibiyotik re\u00e7ete edilmesini g\u00fcvenli bir \u015fekilde azaltman\u0131n yollar\u0131 hakk\u0131nda \u00e7ok az ara\u015ft\u0131rma bulunmaktad\u0131r.<\/p>\n<p>75 ya\u015f \u00fcst\u00fc insan say\u0131s\u0131n\u0131n artmas\u0131 ve etnik \u00e7e\u015fitlili\u011fin artmas\u0131yla birlikte sa\u011fl\u0131k e\u015fitsizlikleri de artmaktad\u0131r. Sa\u011fl\u0131k sonu\u00e7lar\u0131 ve ya\u015fam beklentisi, varl\u0131kl\u0131 b\u00f6lgelere k\u0131yasla yoksul b\u00f6lgelerde ve kuzey b\u00f6lgelerine k\u0131yasla g\u00fcney \u0130ngiltere&#039;de daha k\u00f6t\u00fcd\u00fcr (Bambra, 2022; Munford vd., 2023). Az\u0131nl\u0131k etnik gruplar ve d\u00fc\u015f\u00fck sosyoekonomik stat\u00fcye sahip ki\u015filer de dahil olmak \u00fczere, yeterince hizmet alamayan gruplardan gelen ki\u015filerin bula\u015f\u0131c\u0131 hastal\u0131klara yakalanma ve antibiyotik diren\u00e7li bakterileri ta\u015f\u0131ma riski daha y\u00fcksektir (Ayorinde vd., 2023).<\/p>\n<p>Akut enfeksiyon ge\u00e7iren ya\u015fl\u0131 bireylerde bak\u0131m ve sa\u011fl\u0131k sonu\u00e7lar\u0131ndaki e\u015fitsizliklere neyin yol a\u00e7t\u0131\u011f\u0131n\u0131 ve bak\u0131m\u0131 nas\u0131l iyile\u015ftirebilece\u011fimizi ve e\u015fitsizlikleri nas\u0131l azaltabilece\u011fimizi anlamaya ihtiya\u00e7 vard\u0131r. Bu \u00e7al\u0131\u015fma, ICB&#039;nin e\u015fitsizliklerle m\u00fccadele etme ve ya\u015fl\u0131 bireyleri ya\u015famlar\u0131n\u0131n sonuna do\u011fru destekleme \u00f6nceli\u011fini ele alacakt\u0131r.<\/p>\n<h2><strong>Ara\u015ft\u0131rman\u0131n amac\u0131 nedir?<\/strong><\/h2>\n<p><strong>\u00a0<\/strong>RCF projesinin ama\u00e7lar\u0131 \u015funlard\u0131r:<\/p>\n<ol>\n<li>Bu \u00e7al\u0131\u015fma, dezavantajl\u0131 gruplardaki ya\u015fl\u0131 yeti\u015fkinlerde antibiyotiklerin a\u015f\u0131r\u0131 veya yetersiz re\u00e7ete edilmesine ve akut enfeksiyonlar nedeniyle planlanmam\u0131\u015f hastane yat\u0131\u015flar\u0131na yol a\u00e7an etkenler hakk\u0131ndaki mevcut literat\u00fcr\u00fc incelemeyi ama\u00e7lamaktad\u0131r.<\/li>\n<li>\u00c7e\u015fitli kamu ve payda\u015f kat\u0131l\u0131mc\u0131lar\u0131yla birlikte, enfeksiyonlu ya\u015fl\u0131lara y\u00f6nelik bak\u0131m\u0131 iyile\u015ftirmek i\u00e7in gelecekteki ara\u015ft\u0131rmalar\u0131 birlikte tasarlamak.\n<ul>\n<li>Hedef pop\u00fclasyonlar\u0131n belirlenmesi (ya\u015f aral\u0131\u011f\u0131; bak\u0131m evlerinde\/huzurevinde kalanlar ve\/veya ba\u011f\u0131ms\u0131z olarak ya\u015fayanlar; hangi ya\u015fl\u0131 pop\u00fclasyonlar en az temsil ediliyor).<\/li>\n<li>Kan\u0131t eksikliklerini belirlemek ve bu eksiklikleri gidermek i\u00e7in uygun ara\u015ft\u0131rma sorular\u0131 ve \u00e7al\u0131\u015fmalar tasarlamak.<\/li>\n<li>Potansiyel m\u00fcdahalelerin belirlenmesi ve m\u00fcdahale geli\u015ftirme ile fizibilite \u00e7al\u0131\u015fmas\u0131 tasar\u0131mlar\u0131n\u0131n birlikte tasarlanmas\u0131.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n<h2><strong>Bristol, Kuzey Somerset ve G\u00fcney Gloucestershire ICB RCF nas\u0131l kullan\u0131lacak?<\/strong><\/h2>\n<p>RCF fonu, bir SRA&#039;n\u0131n hasta ve payda\u015f kat\u0131l\u0131m\u0131n\u0131 (PPI) ve payda\u015f g\u00f6r\u00fc\u015fmelerini y\u00fcr\u00fctmesi, h\u0131zl\u0131 bir literat\u00fcr taramas\u0131 yapmas\u0131 ve hibe ba\u015fvurular\u0131 yazmas\u0131 i\u00e7in gereken s\u00fcreyi destekleyecektir.<\/p>\n<p>Gelecekteki ara\u015ft\u0131rma projelerini birlikte tasarlamak \u00fczere, farkl\u0131 ge\u00e7mi\u015flere sahip ki\u015filerin dahil edilmesini sa\u011flayacak, \u00e7e\u015fitli bir kamu dan\u0131\u015fma grubu olu\u015fturaca\u011f\u0131z (ayr\u0131nt\u0131lar i\u00e7in sonraki b\u00f6l\u00fcme bak\u0131n\u0131z).<\/p>\n<p>Do\u011fru uzmanl\u0131\u011fa sahip bir ara\u015ft\u0131rma ekibi kuraca\u011f\u0131z. Dr. Cabral, Bristol HPRU&#039;daki \u00e7al\u0131\u015fmalar\u0131 arac\u0131l\u0131\u011f\u0131yla HSA ile ve SPCR \u00fcyeli\u011fi arac\u0131l\u0131\u011f\u0131yla da akademik birinci basamak sa\u011fl\u0131k hizmeti klinisyenleriyle ba\u011flant\u0131lar kurmu\u015ftur. Mevcut a\u011flar\u0131ndan uygun i\u015fbirlik\u00e7ileri belirleyecektir.<\/p>\n<p>Mevcut kan\u0131t taban\u0131n\u0131 ve eksiklikleri belirlemek i\u00e7in h\u0131zl\u0131 bir literat\u00fcr taramas\u0131 yapaca\u011f\u0131z. Bu tarama, ya\u015fl\u0131 yeti\u015fkinlerde antibiyotiklerin a\u015f\u0131r\u0131 ve yetersiz re\u00e7ete edilmesinin ve akut enfeksiyonlar nedeniyle planlanmam\u0131\u015f hastane yat\u0131\u015flar\u0131n\u0131n nedenlerini ortaya koyan literat\u00fcr\u00fc belirleyecektir. Ayr\u0131ca, ilgili pop\u00fclasyonlara y\u00f6nelik m\u00fcdahale \u00e7al\u0131\u015fmalar\u0131n\u0131n incelemelerine de genel bir bak\u0131\u015f yapaca\u011f\u0131z (Cochrane taraf\u0131ndan halihaz\u0131rda bir\u00e7ok sistematik incelemenin bulundu\u011fu durumlarda incelemelere genel bir bak\u0131\u015f \u00f6nerilmektedir). Kamuoyu kat\u0131l\u0131mc\u0131lar\u0131, inceleme oda\u011f\u0131, \u00e7al\u0131\u015fma dahil etme ve hari\u00e7 tutma, sentez ve raporlama konular\u0131ndaki kararlara kat\u0131larak incelemeye katk\u0131da bulunacaklard\u0131r.<\/p>\n<p>Hem HSDR&#039;ye hem de RfPB&#039;ye uygulamalar\u0131 incelemek ve bir m\u00fcdahale geli\u015ftirmek amac\u0131yla birbirini tamamlay\u0131c\u0131 ba\u015fvurular yazmay\u0131 planl\u0131yoruz.<\/p>\n<h2><strong>Ara\u015ft\u0131rmay\u0131 kim y\u00fcr\u00fct\u00fcyor?<\/strong><\/h2>\n<p>Proje, Bristol \u00dcniversitesi Akademik Birinci Basamak Sa\u011fl\u0131k Hizmetleri Merkezi&#039;nde k\u0131demli \u00f6\u011fretim \u00fcyesi olan Dr. Christie Cabral taraf\u0131ndan y\u00f6netilmektedir.<\/p>\n<h2><strong>Daha fazla bilgi<\/strong><\/h2>\n<p>Daha fazla bilgi almak veya bu projeye kat\u0131lmak i\u00e7in l\u00fctfen ileti\u015fime ge\u00e7in.\u00a0<a href=\"mailto:bnssg.research@nhs.net\"><strong>bnssg.research@nhs.net<\/strong><\/a>.<\/p>\n  <\/div>\r\n  <\/section><\/div><!-- .assembler_text-module.assembler_module.assembler_text-module_1.assembler_module_1..transparent --><\/div><!-- .assembler_module_area.assembler_module_area_1 --><\/div><!-- .assembler_default-group.assembler_module_group.assembler_default-group_1.assembler_module_group_1  -->","protected":false},"excerpt":{"rendered":"<p>Section titled module-1 Improving care for older people with acute infections What is the problem? \u00a0Acute infections in people over 75 years are often difficult to diagnose and linked to both over prescription of antibiotics and unplanned hospital admissions (Rhee &amp; Stone 2014; Beckett et al 2015; Millet et al 2015). There has been considerable [&hellip;]<\/p>\n","protected":false},"author":28,"featured_media":0,"parent":32896,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"class_list":["post-37751","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/37751","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/users\/28"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/comments?post=37751"}],"version-history":[{"count":2,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/37751\/revisions"}],"predecessor-version":[{"id":37753,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/37751\/revisions\/37753"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/32896"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/media?parent=37751"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/tags?post=37751"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}